Whitehead Essentials of Nursing Leadership & Management ,6th Edition by Sally A. Weiss, Ruth M. Tappen – Test Bank

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Whitehead Essentials of Nursing Leadership & Management ,6th Edition by Sally A. Weiss, Ruth M. Tappen – Test Bank

 

Sample  Questions

 

 

Chapter 5: Organizations, Power, and Empowerment

 

 

 

MULTIPLE CHOICE

 

 

 

  1. Sources of coercive power come from which of the following?
  2. Responsibility
  3. Recognition
  4. Expertise
  5. Punishment

 

ANS: D

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. The structure used in many organizations is the:
  2. Traditional approach.
  3. Organic structure.
  4. Decentralized approach.
  5. Network structure.

 

ANS: A

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Empowerment is psychological and includes a feeling of:
  2. Control.
  3. Loss.
  4. Effectiveness.
  5. Quantity.

 

ANS: C

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Empowerment occurs more often with:
  2. Authoritarian management.
  3. Shared governance.
  4. Laissez-faire governance.
  5. Autocratic management.

 

ANS: B

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Sharing decision-making responsibilities may be difficult for some managers for which of the following reasons?
  2. They believe that empowered staff members have higher levels of job-related tension.
  3. There is inadequate staffing on the unit.
  4. There is a lack of time and situational support.
  5. They may be reluctant to give up their control.

 

ANS: D

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. For registered nurses to enhance their expertise and sense of empowerment, certain activities are necessary. Which of the following will least prepare registered nurses for enhancing their competence?
  2. Actively participating in interdisciplinary team conferences
  3. Attending professional organization meetings
  4. Refraining from participating in research projects in a clinical specialty
  5. Returning to school to earn a higher degree in nursing

 

ANS: C

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. The term shared governance describes:
  2. Informal ways in which access to opportunity is made available to staff.
  3. Staff nurses’ inclusion in decision-making through representation in governing practice and management issues.
  4. Nurses’ involvement in decision-making at the administrative level.
  5. Shared staffing on various levels to serve the needs of the institution.

 

ANS: B

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. A clinic run by volunteer doctors and nurses belongs in which of the following categories?
  2. Voluntary for profit
  3. Publicly supported
  4. Not for profit
  5. Governmental agency

 

ANS: C

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. The most obvious aspect of organizational culture is:
  2. The unwritten rules.
  3. The employee handbook.
  4. The care environment.
  5. The organizational climate.

 

ANS: B

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Which of the following is a common goal for a health-care organization?
  2. Survival
  3. Limited existence
  4. Cooperation with the competition
  5. Downsizing

 

ANS: A

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Staff members at the bottom of the organizational hierarchy have:
  2. No power.
  3. No power and no authority.
  4. High authority and high power.
  5. Little authority, but some power.

 

ANS: D

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. A positive aspect of hierarchy is:
  2. Few policies or practices.
  3. Consistent operation.
  4. Flexibility.
  5. Promotion of creativity.

 

ANS: B

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Why is it important for a health-care organization to create a culture of safety?
  2. It reflects the diversity of the patient population.
  3. Interpreters make it easier to understand patients who do not speak English.
  4. It can contribute to a decrease in errors.
  5. Staff are better protected.

 

ANS: C

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Which of the following is a characteristic of a culture of safety?
  2. Staff willingness to admit having made a mistake
  3. Finding the staff member responsible for insulting a patient
  4. Consistently placing insensitive staff on suspension
  5. More efficient use of scarce resources

 

ANS: A

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. A health-care organization that wants to achieve excellence in patient care should:
  2. Review unit expenses for possible fraud.
  3. Refuse to accept mediocrity in patient care.
  4. Provide monitors to staff and arrive on time.
  5. Update staff job descriptions.

 

ANS: B

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Why is the culture of an organization important to a new graduate?
  2. The culture can create an environment that is hostile to new employees.
  3. It impacts an organization’s public image.
  4. Culture determines the financial health of an organization.
  5. Culture allows free speech.

 

ANS: A

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. What are the benefits of collective bargaining?
  2. Improved management-staff relationships
  3. A more collegial environment for nursing staff
  4. Fair treatment and protection of benefits
  5. Increased staff and patient satisfaction

 

ANS: C

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. What are the benefits of joining a professional organization?
  2. Higher pay
  3. Shared governance
  4. Patient safety
  5. Representation

 

ANS: D

Chapter 5: Organizations, Power, and Empowerment

 

 

 

  1. Why is shared governance important?
  2. Regulates licensing of registered nurses and practical nurses
  3. Provides staff nurses with a voice in setting standards and policies
  4. Provides staff nurses with representation in the political arena
  5. Provides oversight and treatment of impaired nurses

 

ANS: B

Chapter 5: Organizations, Power, and Empowerment

Chapter 7: Delegation, Prioritization, and Decisions Making

MULTIPLE CHOICE1. A client who was involved in a motor vehicle accident is admitted through the emergency department. He has an IV of 0.9% NS @ 100 mL/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain. On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited 560 milliliters of green emesis with flecks of “coffee grounds.” The nurse delegates client care activities to the nursing assistive personnel. Which activity should the nurse keep? A. Taking and recording vital signs every 15 minutesB. Recording accurate intake and outputC. Obtaining a baseline weight to guide therapyD. Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/50ANS: DChapter 7: Delegation of Client Care

 

 

  1. A client recovering from congestive heart failure (CHF)is being discharged this afternoon. The client needs teaching to be reinforced. Who should complete this task?A. An LPN/LVNB. A UAP/NAPC. A unit secretaryD. A second-year nursing student working as a nurse tech on the unitANS: AChapter 7: Delegation of Client Care

 

 

  1. A nurse is caring for several clients. , Which client could be assigned to a UAP/NAP?A. A client with a recent head injuryB. A client for the removal of an ovarian cyst post-laparoscopyC. A client with stable anginaD. A client with a sepsisANS: CChapter 7: Delegation of Client Care

 

 

  1. The RN who is the team leader gives assignments to all the team members. How should the nurse base this decision?A. The number of staff willing to workB. The age and desires of the team membersC. The RN needing to take orders and write client outcomesD. The condition and needs of each clientANS: DChapter 7: Delegation of Client Care

 

 

  1. An RN is setting up the day’s assignments. A newly licensed RN has been floated to the unit. What should the RN consider when making the assignment for the newly licensed nurse?A. The nurse’s ageB. The nurse’s knowledge of the institution’s standards of practiceC. The nurse’s nursing degreeD. The nurse’s level of skillANS: DChapter 7: Delegation of Client Care

 

 

  1. What two legal responsibilities should the RN take into consideration when delegating to others?A. Knowing the job requirements and evaluating the outcomesB. Assessing how much supervisory time is necessary and assessing the competence of each staff memberC. Writing job descriptions and communicating them to all staff membersD. Making sure the supervisor and employee strengths are matched and giving adequate supervisionANS: BChapter 7: Delegation of Client Care

 

 

  1. An RN arrives at work and the nurse manager tells her that the ICU needs more help. The RN is the most experienced nurse on this unit. The RN tells the nurse manager she has never worked in the ICU and shares her concerns regarding the lack of familiarity with the technical equipment and protocols of the ICU. The nurse manager states that she understands the RN’s concern but is to go to the ICU. How should the RN respond to the situation?A. Refuse to go to the ICUB. Go to the ICU and tell the charge nurse that she is ill and needs to go homeC. Go to the ICU and inform the charge nurse of the tasks she is able to perform and those tasks with which she feels she needs assistanceD. Call the nurse manager’s supervisor and report her for unsafe delegationANS: CChapter 7: Delegation of Client Care

 

 

  1. An RN has delegated the care of a fresh postoperative client to an LPN. The LPN notifies the RN that the client’s vital signs are elevated and the client is dyspneic and complaining of pain. What should the nurse do next?A. No further action is necessary as the LPN is experienced.B. Request that the LPN offer the client a narcotic analgesic that had been ordered for the postoperative periodC. Place a call to the attending surgeon and report that the client is having painD. Assess the client and analyze the preoperative and perioperative data before calling the surgeonANS: DChapter 7: Delegation of Client Care

 

 

  1. Delegation is defined as:A. Reassigning the responsibility of performing a job from one person to another.B. Explaining how you want a job done.C. Telling other people what to do.D. Developing ways to classify people into job categories to learn what they are capable of doing.ANS: AChapter 7: Delegation of Client Care

 

 

  1. An RN has worked in labor and delivery for 15 years with a total RN staff. The nurse is presently an associate nurse manager of a busy postpartum unit and has RNs and UAPs. What should the nurse consider when making assignments to members of the health-care team?A. Length of serviceB. Scope of practiceC. Ability to perform the taskD. Job titleANS: CChapter 7: Delegation of Client Care

 

 

  1. An RN who has been a nurse for 10 years is precepting a novice RN. The novice is having difficulty prioritizing client care. What should the RN tell the novice about the principles of prioritizing care?A. The nursing processB. Virchow’s triadC. Client requestsD. Maslow’s hierarchy of needsANS: DChapter 7: Delegation of Client Care

 

 

  1. As a charge nurse, which of the following clients should be assigned to a nurse who was sent to a neurological unit from a general surgical unit?A. A client who has a stable cervical fracture and is in halo tractionB. A client who has Guillain-Barré syndrome who is having respiratory difficultiesC. A client who has chronic amyotrophic lateral sclerosisD. A client diagnosed who has myasthenia gravis and is having medications adjusted. ANS: AChapter 7: Delegation of Client Care

 

 

  1. A nurse is caring for a client who has dementia and urinary incontinence. Which nursing action is appropriate to delegate to a UAP/NAP?A. Teaching the client to use the call bell when needing the bed panB. Offering the bed pan to the client every 2 hoursC. Obtaining a sterile urine sample for culture and sensitivityD. Assessing the client for skin breakdownANS: BChapter 7: Delegation of Client Care

 

 

  1. A nurse is caring for a group of clients. Which client should be assigned to the UAP/NAP?A. A client who has just returned from the post-anesthesia recovery roomB. A client whose call light is not workingC. A client with Alzheimer’s type dementiaD. A client who is receiving heat treatmentANS: BChapter 7: Delegation of Client Care